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Revista de Gastroenterología del Perú

versão impressa ISSN 1022-5129

Resumo

DAVELOIS ATAC, Kelly Roxana et al. Diagnostic performance of the rapid fasciorap test based on the immunochromatography or lateral flow technique for the detection of antibodies in patients with human fasciolosis. Rev. gastroenterol. Perú [online]. 2022, vol.42, n.2, pp.92-98. ISSN 1022-5129.  http://dx.doi.org/10.47892/rgp.2022.422.1374.

Objective

: To determine the diagnostic performance of the immunochromatography technique or lateral flow for the detection of antibodies in patients with human fasciolosis.

Materials and methods

: Observational, prospective and cross-sectional study. We have developed a lateral flow test (Fasciorap) for the serological diagnosis of fasciolosis due to F. hepatica, composed of excretion-secretion antigens of adult forms conjugated with orocolloid of 40 nm and a protein A and IgG of rabbit anti F. hepatica as detector reagents in the test and control line, flanked by pads in a cassette. 240 sera were evaluated, 120 positive, 50 sera from patients with other parasites, 20 from patients with infectious diseases and 50 sera from non-parasitized people, the interpretation of results was performed by visual inspection 15 minutes after applying the samples.

Results

: The test detected the presence of antibodies in the serum of patients with fasciolosis, reaching a sensitivity of 92.5%, a specificity of 94.17%, a positive predictive value of 94.07% and a negative predictive value of 92.62%; with 100% agreement on repeatability and reproducibility.

Conclusions

: Fasciorap detects cases of fascioliasis, therefore, it is a potential diagnostic test in endemic areas where point-of-care testing is required

Palavras-chave : Fasciola hepatica; Antigens; Gold colloid; Sensitivity and specificity.

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